Effective Treatment Strategies for Adolescent Heroin and Opiate Use. Chris Gleason, MA, CAADC, MAATP Director Rosecrance McHenry County

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1 Effective Treatment Strategies for Adolescent Heroin and Opiate Use Chris Gleason, MA, CAADC, MAATP Director Rosecrance McHenry County

2 Learning Objectives The unique challenges related to clinical work with youth using Heroin and Opiates Current trends in Illinois Specific strategies to utilize in the assessment and treatment of youth using Heroin and Opiates How to plan and collaborate with family, youth, and community systems

3 The current state In 2011, 4.2 million Americans aged 12 or older (or 1.6 percent) had used heroin at least once. An estimated 23 percent of individuals who use heroin will become dependent on it (NIDA). Illinois and Wisconsin are among the many states whose drug-related deaths outnumber motor vehicle related deaths.

4 The current state According to the University of Michigan, in 2010 the following percentage of students in our nation had abused prescription drugs for nonmedical purposes in the last year. Vicodin - 2.9% of 8th graders, 6.7% of 10th graders, and 10% of 12th graders Oxycontin - 2.1% of 8th graders, 3.6% of 10th graders, and 4.7% of 12th graders According to NIDA 2012, heroin use sky-rocketed in 2012:.1% of year olds,.8% of year olds and.2% of 26- older year olds used heroin.

5 Implications According to NSDUH Report According to the Substance Abuse and Mental Health Services Administration s (SAMHSA s) National Survey on Drug use and Health, 23.5 million people 12 years of age and older needed treatment for an illicit drug or alcohol abuse problem in 2009 An overwhelming 93 percent of young adults in NEED of treatment did not believe they actually needed it!

6 Barriers to Adolescent Development Poor boundaries. Parents don t allow natural consequences or never say no. P/E/S Abuse & Neglect Chronic failure Social & Educational Problems Substance Abuse

7 Psycho-social Development Establishing an identity Developing autonomy Becoming independent and self-governing within relationships Building intimacy Becoming comfortable with one s sexuality Focusing on achievement

8 How drugs interfere with adolescent development Block psychological development and maturity Isolate or diminish a person s feelings Create conflict at home Prevent developing a sense of self

9 Barriers to engaging in treatment Presence of pain Suboxone works well with pain issues often not addressed in traditional opiate addiction treatment. As Suboxone accesses the same receptors of traditional narcotic medication (TIP 43) Addressing barriers do not need to solve barriers, simply addressing this is sufficient relates to empowerment and client responsibility

10 Treatment Strategies No Adult models changed to work with Adolescents Dialectical Behavioral Therapy Cognitive Behavioral Therapy 12 Step Involvement Community Involvement Natural Support Systems

11 Treatment approaches Address barriers to treatment engagement Address possibility of prior negative treatment experiences Address issues related to pain Address stigma issues

12 Treatment considerations for counselors Client is the expert Encourage client ownership (empowerment) Skill development Focus on application of skills

13 Overdose Prevention Importance of education on: Change in tolerance Danger of heroin in area Discussion of Narcan Importance of ongoing recovery support Importance of continuing with doctors if medication has ben prescribed.

14 Resources Heretohelp.com NIDA website SAMHSA TIP 43 and TIP 40, available through the Department of Health and Human Services SAMHSA website, including Diversion and Abuse of Buprenorphine: Final Report SAMHSA Overdose Prevention Tool Kit Suboxone.com

15 For information contact: Chris Gleason Director McHenry County 422 Tracy Court Crystal Lake, IL Phone:

16 AT LAST * Pictures of individuals in this presentation are for illustration purposes only. These pictures portray models and are not pictures of actual clients of Rosecrance. No inference should be made, or is implied, that the pictures used here are of individuals connected in any way to Rosecrance or to its affiliates or programs.